CONSERVATIVE TREATMENT OF INTRA-ALVEOLAR ROOT FRACTURE OF PRIMARY INCISORS USING RESIN WIRE SPLINT : CASE REPORT

Jung, Ji Hyun; Park, Jae-Hong; Kim, Kwang Chul; Choi, Yeong Chul; Choi, Sung Chul

Journal of the Korean Academy of Pediatric Dentistry 2013;40(1):53-59.
Published online February 28, 2013.

CONSERVATIVE TREATMENT OF INTRA-ALVEOLAR ROOT FRACTURE OF PRIMARY INCISORS USING RESIN WIRE SPLINT : CASE REPORT

Ji Hyun Jung, Jae-Hong Park, Kwang Chul Kim, Yeong Chul Choi, Sung Chul Choi

Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University

레진 강선 고정을 이용한 유전치 치근 파절의 보존적 치료 : 증례 보고

정지현, 박재홍, 김광철, 최영철, 최성철

경희대학교 치과대학 소아치과학교실

Correspondence: Sung Chul Choi, Tel: 02-958-9371, Email: pedochoi@gmail.com

Received: 28 August 2012 • Accepted: 18 December 2012

Abstract

In an intra-alveolar root fracture (IARF) of a primary tooth with severe mobility and displacement, extraction and periodic-follow-up is the choice of recommended treatments because of the fear of aspiration of the mobile tooth and the possibility of damage in the permanent succeeding tooth. However, repositioning and splinting are presented as a fresh proposal recently. In case of extracting a primary incisor, many problems occur; esthetic problems; functional problems such as pronunciation and mastication; space loss; and psychological and social problems. Therefore, the best treatment is conservation of the primary tooth. The aim of this report was to suggest the conservative treatment of an Intra-alveolar root fracture of the primary central incisors with severe mobility and displacement based on two cases that describe the diagnoses, treatments and follow-ups (mean period: 27-month). All cases have been treated by reduction and immobilization by resin wire splint (RWS) (mean period: 6-week). Both cases were followed up until the successors were erupted. There have been no complications such as pain, pulp necrosis, periapical lesion, displacement of permanent tooth germ, eruption disturbance and etc.

Key Words: Intra-Alveolar Root Fracture (IARF), Resin wire splint (RWS), Primary central incisor